{"id":34688,"date":"2024-11-26T17:11:21","date_gmt":"2024-11-26T17:11:21","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34688"},"modified":"2024-11-26T17:11:21","modified_gmt":"2024-11-26T17:11:21","slug":"the-role-of-paramedics-in-end-of-life-planning","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/ro\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/the-role-of-paramedics-in-end-of-life-planning\/","title":{"rendered":"Rolul paramedicilor \u00een planificarea sf\u00e2r\u0219itului vie\u021bii"},"content":{"rendered":"
Sec\u021biunea intitulat\u0103 modul-1<\/span><\/a>
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Rolul paramedicilor \u00een planificarea sf\u00e2r\u0219itului vie\u021bii<\/h1>\n

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Finan\u021bare<\/h2>\n<\/article>\n

Finan\u021barea capacit\u0103\u021bii de cercetare CCG pentru Bristol, North Somerset \u0219i South Gloucestershire (Dezvoltare local\u0103)<\/p>\n

Care este \u00eentrebarea de cercetare?<\/h2>\n

Introducerea unei c\u0103i de screening \u0219i trimitere pentru paramedici cre\u0219te planificarea timpurie a \u00eengrijirii avansate \u0219i \u00eembun\u0103t\u0103\u021be\u0219te rezultatele pentru pacien\u021bii din ultimul an de via\u021b\u0103?<\/p>\n

Care este problema?<\/h2>\n

Identificarea pacien\u021bilor afla\u021bi \u00een faza de sf\u00e2r\u0219it de via\u021b\u0103 (EoL) este deficitar\u0103, \u00een special \u00een cazul persoanelor cu alte diagnostice dec\u00e2t cancerul, cum ar fi fragilitatea \u0219i demen\u021ba.<\/p>\n

Este important ca pacien\u021bii care se apropie de sf\u00e2r\u0219itul vie\u021bii s\u0103 fie identifica\u021bi din timp, deoarece acest lucru permite organizarea unui sprijin comunitar cuprinz\u0103tor, identificarea \u0219i adaptarea nevoilor \u0219i respectarea dorin\u021belor acestora, cum ar fi permiterea oamenilor s\u0103 moar\u0103 \u00een locul ales. Cel mai r\u0103u scenariu este atunci c\u00e2nd un pacient este transportat la Departamentul de Urgen\u021b\u0103 al unui spital aglomerat \u0219i decedeaz\u0103 \u00een spital, c\u00e2nd ar fi preferat s\u0103 moar\u0103 lini\u0219tit acas\u0103.<\/p>\n

Planificarea avansat\u0103 a \u00eengrijirii (PAA) este definit\u0103 ca \u2018un proces de luare a deciziilor formale care \u00ee\u0219i propune s\u0103 ajute pacien\u021bii s\u0103 ia decizii cu privire la \u00eengrijirea lor viitoare, decizii care intr\u0103 \u00een vigoare atunci c\u00e2nd \u00ee\u0219i pierd capacitatea\u2019. Utilizarea actual\u0103 a PAA \u00een cadrul NHS este variabil\u0103; mul\u021bi pacien\u021bi care se prezint\u0103 la serviciul de ambulan\u021b\u0103 nu par s\u0103 aib\u0103 implementat\u0103 o planificare a \u00eengrijirii, nici m\u0103car atunci c\u00e2nd se afl\u0103 la sf\u00e2r\u0219itul vie\u021bii. Av\u00e2nd \u00een vedere costurile spitalice\u0219ti pentru pacien\u021bii la sf\u00e2r\u0219itul vie\u021bii estimate la 180 de milioane de lire sterline pe an, este necesar\u0103 reducerea acestor costuri, \u00eembun\u0103t\u0103\u021bind \u00een acela\u0219i timp PAA pentru pacien\u021bi.<\/p>\n

Care este scopul cercet\u0103rii?<\/h2>\n

Serviciile de ambulan\u021b\u0103 sunt \u00een m\u0103sur\u0103 s\u0103 ini\u021bieze \u00eengrijire personalizat\u0103 \u0219i furnizarea de \u00eengrijiri mai aproape de domiciliu pentru acei pacien\u021bi care nu au fost identifica\u021bi anterior la sf\u00e2r\u0219itul vie\u021bii \u0219i care acceseaz\u0103 serviciul de ambulan\u021b\u0103 printr-un apel la 999. Acest studiu \u00ee\u0219i propune s\u0103 \u00een\u021beleag\u0103 dac\u0103 identificarea pacien\u021bilor afla\u021bi la sf\u00e2r\u0219itul vie\u021bii de c\u0103tre paramedici poate cre\u0219te satisfac\u021bia pozitiv\u0103 (ACP) \u0219i poate \u00eembun\u0103t\u0103\u021bi rezultatele pentru ace\u0219ti pacien\u021bi.<\/p>\n

Cum se va realiza acest lucru?<\/h2>\n

Paramedicilor li se va solicita s\u0103 utilizeze un instrument de screening consacrat, Ghidul de identificare proactiv\u0103 (PIG) din Cadrul de standarde de aur \u0219i o trimitere corespunz\u0103toare c\u0103tre cabinetul medicului de familie al pacientului, pentru a-l notifica pe acesta c\u0103 pacientul se apropie de sf\u00e2r\u0219itul vie\u021bii \u0219i necesit\u0103 o revizuire a ACP.<\/p>\n

O metodologie realist\u0103 de evaluare va permite o \u00een\u021belegere aprofundat\u0103 a modului \u00een care aceast\u0103 interven\u021bie poate fi utilizat\u0103 pentru a identifica \u0219i trimite pacien\u021bii afla\u021bi \u00een ultimul an de via\u021b\u0103 \u0219i cum ar putea influen\u021ba acest lucru rezultatele \u0219i experien\u021ba pacien\u021bilor, experien\u021bele \u00eengrijitorilor, utilizarea resurselor \u0219i efectul asupra for\u021bei de munc\u0103 din asisten\u021ba medical\u0103 primar\u0103 \u0219i paramedicilor.<\/p>\n

Cine conduce cercetarea?<\/h2>\n

Kim Kirby<\/a>, Cercet\u0103tor senior (\u0218tiin\u021be paramedicale), Centrul pentru S\u0103n\u0103tate \u0219i Cercetare Clinic\u0103, Universitatea din Vestul Angliei.<\/p>\n

Informa\u021bii suplimentare<\/h2>\n

Pentru mai multe informa\u021bii sau pentru a v\u0103 implica \u00een acest proiect, v\u0103 rug\u0103m s\u0103 contacta\u021bi bnssg.research@nhs.net<\/a>.<\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

Section titled module-1 The role of paramedics in End of Life planning   Funding Bristol, North Somerset and South Gloucestershire CCG Research Capability Funding (Local development) What is the research question? Does the introduction of a paramedic screening and referral pathway increase early advanced care planning and improve outcomes for patients in the last year […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34688","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/comments?post=34688"}],"version-history":[{"count":1,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34688\/revisions"}],"predecessor-version":[{"id":34689,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/34688\/revisions\/34689"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/media?parent=34688"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/ro\/wp-json\/wp\/v2\/tags?post=34688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}